How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $501.19 Median $4,073.80 Typical High $10,964.78 | Facility | None | $501.19 | $4,073.80 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $234.42 | Professional | None | $107.15 | $162.18 | $234.42 |
AvMed Setting Facility Modifier None Typical Low $239.88 Median $1,659.59 Typical High $9,549.93 | Facility | None | $239.88 | $1,659.59 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $234.42 | Professional | None | $123.03 | $181.97 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,905.46 Typical High $3,019.95 | Facility | None | $436.52 | $1,905.46 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $162.18 Typical High $338.84 | Professional | None | $97.72 | $162.18 | $338.84 |
Florida Blue Setting Facility Modifier None Typical Low $870.96 Median $1,737.80 Typical High $16,982.44 | Facility | None | $870.96 | $1,737.80 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $204.17 | Professional | None | $144.54 | $162.18 | $204.17 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $416.87 | Professional | None | $147.91 | $213.80 | $416.87 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $7,585.78 | Facility | None | $794.33 | $1,778.28 | $7,585.78 |
United Setting Professional Modifier None Typical Low $100.00 Median $190.55 Typical High $371.54 | Professional | None | $100.00 | $190.55 | $371.54 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $165.96 Typical High $165.96 | Professional | None | $89.13 | $165.96 | $165.96 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $81.28 Typical High $107.15 | Professional | 52 · Reduced service | $53.70 | $81.28 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $32.36 Typical High $42.66 | Professional | 53 · Discontinued | $21.38 | $32.36 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $123.03 Typical High $158.49 | Professional | 54 · Surgery only | $81.28 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $24.55 Typical High $31.62 | Professional | 55 · Aftercare only | $16.22 | $24.55 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $16.22 Typical High $21.38 | Professional | 56 · Pre-op care only | $10.72 | $16.22 | $21.38 |
Where Florida sits
The same service costs 3.7 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Florida· 23rd of 51
$269
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.